Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement Straps - JA DME
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Shoe Holder or Shoe Holder Replacement Straps
Recent reports have identified that suppliers are billing Healthcare Common Procedure Coding System (HCPCS) code K0108 (WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED) for a shoe holder or replacement straps. Suppliers must not bill this miscellaneous code when billing for shoe holders or replacement straps. Complete shoe holders are billed using one of the two or both following HCPCS codes, as applicable:
E0951 - HEEL LOOP/HOLDER, ANY TYPE, WITH OR WITHOUT ANKLE STRAP, EACH
E0952 - TOE LOOP/HOLDER, ANY TYPE, EACH
When replacing either a strap or holder separately, claims should be billed with the single, applicable code (above) and with the RB modifier (REPLACEMENT OF A PART OF A DME, ORTHOTIC OR PROSTHETIC ITEM FURNISHED AS PART OF A REPAIR).
For questions about correct coding, contact the Pricing, Data Analysis, and Coding (PDAC) contractor at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form available on the website www.dmepdac.com.
Last Updated Tue, 20 Mar 2018 12:41:09 +0000